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Orthopedics: s/l "athetory"-type movements. (Shoulder exam)? Help???

Posted By: deb on 2008-04-21
In Reply to:

Subject: Orthopedics: s/l "athetory"-type movements. (Shoulder exam)? Help???




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On neuro exam they do say RAM for rapid alternating movements? nm
Subject: On neuro exam they do say RAM for rapid alternating movements? nm


although there is intention tremor in neuro exam, and rapid alternating movements...nm
Subject: although there is intention tremor in neuro exam, and rapid alternating movements...nm

x
type of brace/orthopedics
Subject: type of brace/orthopedics

doctor is talking about a patient that had left elbow lateral epicondylar repair/debridement and says she has not received her s/l Jazz brace? cannot find such a thing yet??? does this sound right???
Shoulder exam help
Subject: Shoulder exam help

Negative s/l Meetnere's. Negative s/l cross arm. She has good strength and open s/l kin as well as external rotation bilaterally.

Best shoulder exam link I know of. sm
Subject: Best shoulder exam link I know of. sm

http://www.shoulderdoc.co.uk/article.asp?section=497&article=614
subtle motor movements or some clonic movements..nm
Subject: subtle motor movements or some clonic movements..nm

nm
Occ health--shoulder exam (2 blanks) Pls help. SM
Subject: Occ health--shoulder exam (2 blanks) Pls help. SM

Adson maneuver is negative.  *_________ (s/l controse) about the right
shoulder appear normal and symmetric with the left side.  There is no
*___________ (s/l spinatahoss) atrophy and no focal tenderness to the suprascapular notch.


Whew!  This was a LOOONG report.  Thanks for your help.


Chickadee


Link for shoulder exam/signs. sm
Subject: Link for shoulder exam/signs. sm

http://www.shoulderdoc.co.uk/education/article.asp?article=497
orthopedics--type of shoe--tarsal? Harstal? Harshall? Partial?
Subject: orthopedics--type of shoe--tarsal? Harstal? Harshall? Partial?

As you can see, I am really reaching for this one.  This is a type of shoe that is worn when someone has an ankle fracture. I'm thinking it could be "tarsal shoe" but then it almost sounds like "Harstel shoe" or something else entirely. I need an expert on shoe types and/or orthopedics to help me!
Sounds like "empty can test"...shoulder exam. nm
Subject: Sounds like "empty can test"...shoulder exam. nm


ortho - knee exam, blank s/l shoulder
Subject: ortho - knee exam, blank s/l shoulder

He is now 4 days out from his left arthroscopic partial medial meniscectomy, where had probably had a bucket handle tear and debridement of loose cartilage in the trochlea, where he had a 2 cm x 1 cm lesion in the midportion with good _______ s/l shoulders, and an area where he had undoubtedly impacted the bucket handle tear tear anteriorly and had a few loose flaps of cartilage that we debrided.


I'm too tired of typing to try to think of what this word really should be.  any suggestions?


Neuro Exam: Shoulder shrug and s/l SEN strength
Subject: Neuro Exam: Shoulder shrug and s/l SEN strength

Is this correct?  Thanks!
shoulder exam: A mildly positive s/l apitkon's sign
Subject: shoulder exam: A mildly positive s/l apitkon's sign

Thank you!
Pt has shoulder pain. On exam has positive s/l scarf sign.
Subject: Pt has shoulder pain. On exam has positive s/l scarf sign.


patient has shoulder pain. On exam no cerva-chromal crepitus. nm
Subject: patient has shoulder pain. On exam no cerva-chromal crepitus. nm

thanks.
reply to type of exam look under my LAB from debbie
Subject: reply to type of exam look under my LAB from debbie


any more info? Type of exam, chief complaint, anything at all.
Subject: any more info? Type of exam, chief complaint, anything at all.

dd
dutery movements?
Subject: dutery movements?

I can't think anymore tonight...


The infant’s skin was pink/ruddy and no s/l doo-ter-ie movements were observed. 


Thanks.


? athetoid movements
Subject: ? athetoid movements


s/l secatic eye movements
Subject: s/l secatic eye movements


choreathetotic movements nm
Subject: choreathetotic movements nm


choreiform movements
Subject: choreiform movements

x
foreign bowel movements
Subject: foreign bowel movements

The pt is moving his bowels twice a day s/l foreign bowel movements.


He had constipation on Detrol. Now he is off it.


You sure it's not EOMs for extraocular eye movements?
Subject: You sure it's not EOMs for extraocular eye movements?


possibly rootery movements
Subject: possibly rootery movements

x
Re: Rapid repetitive movements....sm
Subject: Re: Rapid repetitive movements....sm

Gait and coordination are normal as are rapid repetitive movements (on or and) finger to nose. 


I cannot tell if this should be on finger to nose or and finger to nose. 


TIA


S/L: HEAD SHOT GUN MOVEMENTS
Subject: S/L: HEAD SHOT GUN MOVEMENTS

Under cranial nerve exam:


New doctor:


Reveals that her visual fields are full to confrontation S/L: HEAD SHOT GUN MOVEMENTS, full pupils equal, round, and reactive to light...


Thank you


rapid alternating movements? nm
Subject: rapid alternating movements? nm

nm
"fine finger" movements, probably
Subject: "fine finger" movements, probably


pain and bloody (bowel) movements
Subject: pain and bloody (bowel) movements

usually go under "complaints", and not generally under the physical exam. On the other hand, "tenderness" could go under PE.
see if you hear tonic clonic movements
Subject: see if you hear tonic clonic movements

x
Also dictated as rapid alternating movements...
Subject: Also dictated as rapid alternating movements...

.
just a wild guess: Try 'subtle' movements...? nm
Subject: just a wild guess: Try 'subtle' movements...? nm

nm
should be tonic/dystonic limb movements. nm
Subject: should be tonic/dystonic limb movements. nm

xx
tonic eye movements with a ___coria, dr yawning. TX
Subject: tonic eye movements with a ___coria, dr yawning. TX

x
decreased s/l flying femur movements?
Subject: decreased s/l flying femur movements?

Under neurologic exam, motor exam.  s/l decreased flying femur movements right vs. left.
Myoclonic jerking and s/l chloriform movements?
Subject: Myoclonic jerking and s/l chloriform movements?

Patient has toxic encephalopathy, systolic congestive heart failure, pneumonia, diabetes.....


The patient had an episode of myoclonic jerking and s/l 'chloriform' movements.


Head: Extraocular movements full. Pupils ...
Subject: Head: Extraocular movements full. Pupils ...


I was just going to write back to say I finally heard it and you were right. extraocular movements.
Subject: I was just going to write back to say I finally heard it and you were right. extraocular movements.

thanks a bunch
New to orthopedics?
Subject: New to orthopedics?

I am not sure if this looks right but this the sentence that sounds like it is being said.  I am wondering if "pub" is short for pubic??  Thanks for the ortho help, as I am at a loss in this area.


Osteopathic manipulative treatments were performed using muscle energy, Jones strain/counter strain, 7 stages of Spencer, leg tug technique, and a pub technique.     


Thanks for your time.


orthopedics
Subject: orthopedics

I would appreciate if someone can help with this....There is no deltoid or ____ atrophy.


I think he is sayign something that sounds like spiniatrophy...I really cannot make it out but he has said it in more than 3 reports. I was wondering if it was spinatus but there is no S, also it could be two words???


Thank you.


Orthopedics
Subject: Orthopedics

Thanks for all your replies. I will check them as soon as I get back to the report and post here.
Orthopedics
Subject: Orthopedics

PHYSICAL EXAMINATION:

Examination reveals nontender portal sites.??? I am not sure of the portal sites but I am hearing something close to that...thanks for your help.
Orthopedics
Subject: Orthopedics

She notes occasional crepitus.


 


PHYSICAL EXAMINATION:


Examination reveals nontender ___.  Range of motions are nearly complete and painfree. 


That is exactly what he said... nothing else. there is no subheading.


Orthopedics
Subject: Orthopedics

PHYSICAL EXAMINATION:
Examination reveals painfree range of motion at the shoulder, ___ are nontender

Here is another ... he says this in couple more of his reports.
help please - orthopedics
Subject: help please - orthopedics

the dr. dictates - The s/l "hungerford" sequential instrumentation was utilized and a drill hole was placed in the distal end of the femur.  TIA!! 
ORthopedics help
Subject: ORthopedics help

Dr. Says:  The right knee has some minimal diffuse swelling, but no point tenderness or erythema.  No pain with movement of the patella, medially or laterally.  No increased (s/l play) with varus or valgus stress.  Negative drawer and Lachman test.   


 


ASSESSMENT


Left arm strain and right knee contusion, due to a fall


Could play be the correct word? 


orthopedics
Subject: orthopedics

Does anyone know of any good websites to look up medical terms/surgery in orthopedics.  Thanks!
I don't do orthopedics either...obviously!!
Subject: I don't do orthopedics either...obviously!!

But I appreciate all of your help!
Orthopedics
Subject: Orthopedics

Doc is saying "posterolateral interbody fusion with s/l REMP grafts and gutter fusion" 


REMP?


orthopedics
Subject: orthopedics

Hi, I am new at ortho and have a couple of questions.

Physical Exam: There is an abrasion over the left anterior tibia. Left foot has normal dorsalis pedis and tibialis posterior pulses. The sensation is intact. *Capillary refill is less than 2 seconds.* Am I hearing this correctly?

Then he says: X-rays of the left femur and left *tib fib* are negative. Is it OK to say tib fib?

Thanks.